Fox, Fiona;
Tallon, Debbie;
Shafran, Roz;
Lanham, Paul;
Williams, Christopher;
Jude, Berry;
Wiles, Nicola;
... Turner, Katrina; + view all
(2025)
Patients’ reasons for declining a primary care trial online therapy: a mixed methods study.
BJGP Open
, Article BJGPO.2024.0272. 10.3399/BJGPO.2024.0272.
(In press).
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Abstract
Background: Integrating therapist-led sessions and Cognitive Behavioural Therapy (CBT) materials within one online platform may be effective for people with depression. A trial evaluating this mode of delivering CBT is being conducted. To maximize future trial recruitment and understand patients’ views of health interventions, it is important to explore reasons for declining to participate. // Aim: To explore patients’ reasons for declining to participate in a trial of integrated online CBT for depression. // Design & setting: A mixed methods study collecting data from patients via questionnaires and telephone interviews at the three UK trial sites. // Method: Individuals completed a short questionnaire about their reasons for not taking part in the trial. Telephone interviews further explored these reasons with a sub-group. Quantitative data were summarized using descriptive statistics. Qualitative interviews were analysed thematically. // Results: Of 1799 patients who responded to an invitation to participate in the trial, 40.3% declined contact. The most common reasons were not wanting: to take part in research (n=387); therapy provided online (n=284); to receive CBT (n=262). Qualitative interviews with 15 ‘decliners’ highlighted that decisions related to perceptions of eligibility, previous experiences of CBT and uncertainty about receiving CBT online. Personal circumstances, depressive symptoms or other mental health issues were also barriers to participation. // Conclusion: Reasons given by primary care patients for not taking part in a trial of integrated online CBT suggest that, at the point of recruitment, it is important to discuss the patient’s perceptions of their eligibility and whether they would accept the intervention being evaluated.
| Type: | Article |
|---|---|
| Title: | Patients’ reasons for declining a primary care trial online therapy: a mixed methods study |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.3399/BJGPO.2024.0272 |
| Publisher version: | https://doi.org/10.3399/bjgpo.2024.0272 |
| Language: | English |
| Additional information: | Copyright © 2025 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License (http://creativecommons.org/licenses/by/4.0/). Published by BJGP Open. For editorial process and policies, see: https://bjgpopen.org/authors/bjgp-open-editorial-process-and-policies. |
| Keywords: | Depression; Cognitive Behavioural Therapy; randomised controlled trials |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10208472 |
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